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I heard this proposal a lot, and I think it's very SF/tech centered. Big tech and finance would buy every visa and suck all the talent from the world. But some

I heard this proposal a lot, and I think it's very SF/tech centered. Big tech and finance would buy every visa and suck all the talent from the world. But sometimes the best value for the host country is to get an immigrant doctor that's willing to go to a rural area for less pay than the big tech engineers.

akavi 8y ago
These are orthogonal issues. It is in America's interest to suck up economically productive people from all over the world. This is solved by the wage lottery system It is also in America's interest to increase the number of skilled service providers in rural areas. One policy to solve this might be solved by targeted wage subsidies that are tied to working in certain areas. There's no need to couple these orthogonal issues together. It doesn't matter whether the rural doctors are native or immigrants. That said, the policies compose well: Wage subsidy + actual wage might win the visa auction, modulo the quantity of subsidy and the demand for medicine as a skill set.